Clinical News

IBD Registry News – November 2015

Tuesday, 03 November 2015 10:17

Regional meetings

We are running a series of regional workshops that will allow teams a chance to catch up about the new data collection landscape and demonstrate how Registry participation will contribute to service development. Members of both IBD Registry and IBD Audit teams will be present at each of the meetings. Half-day meetings (2.00pm-6.00pm) will be held in:

WARRINGTON Monday 7th December Chair: Dr Keith Bodger
LONDON Friday 15th January 2016 Chair: Dr Stuart Bloom
CARDIFF Thursday 21st January Chair: Dr Barney Hawthorne
TAUNTON Friday 22nd January Chair: Dr Ian Shaw
DARLINGTON Tuesday 26th January Chair: Dr John Mansfield
BIRMINGHAM Friday 5th February Chair: Prof Tariq Iqbal
GLASGOW Spring 2016 Chair: Dr Ian Arnott

For more information and to register please go to

IBD Registry web tool

The web tool is now being made available to additional sites and will be useful for those sites that are unable to use the PMS or another local clinical system. A brief comparison of the Web Tool and PMS functionality is listed below. To find out more and to register your interest in the web tool, please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it

UK Key Performance Indicators and Quality Assurance Standards for Colonoscopy

Tuesday, 27 October 2015 11:11

Rees CJ, Thomas-Gibson S, Rutter MD, Baragwanath P, Pullan R, Feeney M, Haslam N.

Colonoscopy is the 'gold standard' investigation for assessment of the large bowel allowing diagnosis, biopsying, and therapy to be undertaken. Colonoscopy detects and prevents colorectal cancer, and is important tin the diagnosis and treatment of non-neoplastic conditions. Colonoscopy can lead to rare but serious complications and poor quality colonoscopy is associated with increased rates of interval cancers. The quality of UK colonoscopy has improved over recent years but unacceptable variation in practice still exists. Additionally the demand for colonoscopy is increasing.

In 2013 The Joint Advisory Group on GI Endoscopy, the British Society of Gastroenterology and the Association of Coloproctology commissioned a group to review existing and define new quality measures and key performance indicators for colonoscopy. For each standard a review of existing literature and evidence was undertaken. Where evidence exists it has been used to frame the standards. Where no clear evidence exists then existing standards and expert opinion have been used to arrive at agreed standards.

This document establishes clear minimal standards for KPI and QA measures. Where practice falls below these levels then interventions are required to raise the performance of those colonoscopists. Where the authors believed that higher standards would be ideal an aspirational target has been set. The authors believe that this is the level that all colonoscopists should be aiming for to provide the highest quality of practice.

Hepatitis C ODNs service specification published

Wednesday, 21 October 2015 13:44

NHS England has published the service specification for Operational Delivery Networks (ODNs) for hepatitis C care in adults. The full document is available below. Many BSG members will have been involved in the set up processes to date at a local level but this provides NHS England's final specification document.

The BSG, through Steve Ryder and others, continue to engage with NHS England on the detailed operation of ODNs (including data requirements) and the opportunities for clinical peer review amongst ODNs.

Royal College of Nursing launches framework to improve care for liver disease patients

Wednesday, 07 October 2015 11:52

The Royal College of Nursing (RCN) has launched a revised competence framework to help improve nursing care for people with liver disease. The framework, published on 18th September and launched at the British Liver Nurses' Forum 17th Annual Conference, aims to promote education and training in this area.

The framework is authored by RCN members Lynda Greenslade, Clinical Nurse Specialist in Hepatology at the Royal Free London NHS Foundation Trust, and Michelle Clayton, Lecturer in Liver Care at the University of Leeds. It describes the professional standards expected of practitioners when caring for adults and young people across England with liver disease. The framework is applicable to nursing staff in primary and secondary care settings, and is also suitable for use by healthcare practitioners such as GPs and liver dieticians.

The framework also highlights how liver disease was formerly considered to be a rare disease, but now is the fifth most common cause of death in the UK, namely as a result of alcohol, viral hepatitis and obesity leading to non-alcoholic fatty liver disease (NAFLD).

The RCN press release on the framework's publication can be found here, and the full framework can be found here.

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